Organization Active NPI

International Development Enterprise

Doing business as IDE Health Services

  • Nursing Care Agency
  • Annapolis, MD
National Provider Identifier
1457965469
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INTERNATIONAL DEVELOPMENT ENTERPRISE
Doing business as
IDE Health Services
Practice address
1125 West St Ste 434
Annapolis, MD 21401-4198
Phone
(301) 281-7606
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ta Shawn Jennetta Couser
Title
Operations Manager
Phone
(301) 281-7606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1125 West St Ste 434
Annapolis, MD 21401-4198

Mailing address

1125 West St Ste 434
Annapolis, MD 21401-4198
Phone (301) 281-7606

Other names 1

  • IDE Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1125 West St
Ste 434
Annapolis, MD 21401
Phone (301) 281-7606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1457965469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WEST ST STE 434",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014198",
            "telephone_number": "301-281-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WEST ST STE 434",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014198",
            "telephone_number": "301-281-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DEVELOPMENT ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "COUSER",
        "authorized_official_first_name": "TA SHAWN",
        "authorized_official_middle_name": "JENNETTA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "301-281-7606"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDE Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.